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In your own words, discuss the common problems associated with routine blood smear preparation during capillary puncture
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- what is the most common patient concern when having blood drawnExplain thoroughly why we can't venipuncture the Intravenous Fluid Line. However if we can puncture the said area, explain the circumstances.A 3-year-old child is noted to have small pinpoint hemorrhages on the skin, appearing over the past 3 days. On examination the child's vital signs are normal. There are petechae over skin of extremities and trunk. A CBC shows Hgb 14.3 g/dL, Hct 43%, MCV 90 fL, platelet count 19,300/microliter, and WBC count 9370/microliter. This condition resolves over the next month without treatment. Which of the following is the most likely antecedent event for this child's illness? Acetylsalicylic acid (aspirin) ingestion Repetitive trauma Congenital HIV infection Upper respiratory infection Dietary cobalamin deficiency Sulfonamide ingestion
- Explain each: Why observe the following when doing ETS blood collection? a. Expiry date of blood collection tube b. Proper assembly of adapter, needle, and collection tubes Cleaning of puncture site in an inward to outward circular motion c. Puncture site after antiseptic has air dried d. Mixing blood and no pre-labelling of collection tubes e. Removal of tourniquet prior to needle drawing from vein f. Applying pressure to the site after blood collectionA 30-year-old woman arrives at the outpatient department complaining of nausea and vomiting. The patient seems to have jaundice as well. Blood and urine tests are ordered in the laboratory. The following are the results collected from the testing: • Complete Blood Count o Hemoglobin:Normal o WBCcount:Normal • Serum Bilirubin o Total:7.0mg/dL o Conjugated:6.0mg/dL • Serum Enzymes o AlanineTransaminase(ALT):330U/L o AlkalinePhosphatase(ALP):195U/L • Urinalysis o Appearance:Darkbrown o Bilirubin:Positive o Urobilinogen:Decreased ANSWER THE FOLLOWING: 1. Interpret and correlate the patient’s laboratory results. 2. Discuss the possible causes of jaundice in this patient. 3. What part of the bilirubin pathway is severely affected? Explain. 4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.Write the another name of blood bank and discuss.
- The physician writes an order for heparin 900 units/hr. The label on the I.V. bag reads: Heparin 10,000 units in 500 mL How many mL/hr will deliver the correct dose?Determine the proper time or situation to apply the three mentioned needles: EXPLAIN IN 3-4 SENTENCES 1. SINGLE DRAW NEEDLE 2. MULTIPLE DRAW NEEDLE 3. BUTTERFLY (WINGED INFUSION)Can you help me to explain to me about a patient's wound and document your care as if it were an actual patient. Here is a charting sample: 11/19/2019; 1400: 24 F S/P (status post-event that caused the injury) shark attack 3 days ago. Deep wound L buttock (16 cm x 6cm). Patient medicated for 30 minutes prior to wet to dry dressing change with sterile technique. Wound care complete with 0.9% NS (normal saline)-no drainage or exudate noted. Wound packed with sterile gauze/ dressing and bandage applied. Patient tolerated procedure well- pain scale 4/10. Pt resting after procedure in prone position.
